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Childhood trauma differentially impacts depression and stress associations with reintegration challenges among
Anna G Etchin1, Jennifer R Fonda2, Elizabeth P Howard3
1Translational Research Center for TBI & Stress Disorders, VA Boston Healthcare System, Boston, MA.
Background:
Post-9/11 veterans exhibit high prevalence of deployment stress, psychological conditions, and traumatic brain injury (TBI) which impact reintegration, especially among those with a history of interpersonal early life trauma (I-ELT). The relative importance of each risk factor is unclear.
Purpose:
We examined major deployment and clinical exposures of reintegration challenges among veterans with and without I-ELT.
Method:
We analyzed cross-sectional data of 155 post-9/11 veterans from the Translational Research Center for TBI and Stress Disorders study.
Findings:
Depression severity had the strongest association with reintegration challenges, followed by posttraumatic stress disorder (PTSD) severity, post-deployment stress, and deployment safety concerns. Deployment safety concerns had a stronger, significant association among veterans with I-ELT. In nearly every model, PTSD and depression severities were weaker for veterans with I-ELT, compared to those without.
Discussion:
Clinicians should consider the relative risk of concurrent clinical conditions and trauma histories when considering veterans' reintegration needs.
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